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Medical Management of the High-Output Enterostomy and Enterocutaneous Fistula

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Atlas of Intestinal Stomas

Abstract

Medical management of the high-output enterostomy or enterocutaneous fistula (ECF) requires an understanding of mechanisms behind the malabsorption associated with short bowel syndrome (SBS) and intestinal failure (IF). A traditional definition of SBS is <200 cm of remaining viable jejunum and ileum following surgical resection for disease, trauma, infarction, or congenital defect. A more functional definition involves consideration of the quality of the bowel in continuity and the clinical status of the patient, both of which may further interfere with absorptive capacity of the bowel. A thorough examination of remaining functional and structural anatomy can reveal potential causes of persistent malabsorption.

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Authors and Affiliations

  1. Intestinal Rehabilitation and Transplant Nutrition, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH, USA

    Neha Parekh

  2. Division of Gastroenterology, Hepatology and Nutrition, Vanderbilt Center for Human Nutrition, Vanderbilt University Medical Center, Nashville, TN, USA

    Douglas L. Seidner

Authors
  1. Neha Parekh
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  2. Douglas L. Seidner
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Correspondence to Neha Parekh .

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Editors and Affiliations

  1. Digestive Disease Institute, Department of Colorectal Surgery, Cleveland Clinic Foundation, Euclid Ave. 9500, Cleveland, 44195, Ohio, USA

    Victor W. Fazio

  2. Digestive Diseases Institute, Department of Colorectal Surgery, Cleveland Clinic Foundation, Euclid Ave. 9500, Cleveland, 44195, Ohio, USA

    James M. Church

  3. Digestive Disease Institute, Department of Colorectal Surgery, Cleveland Clinic Foundation, Euclid Ave. 9500, Cleveland, 44195, Ohio, USA

    James S. Wu

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Parekh, N., Seidner, D.L. (2012). Medical Management of the High-Output Enterostomy and Enterocutaneous Fistula. In: Fazio, V., Church, J., Wu, J. (eds) Atlas of Intestinal Stomas. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-78851-7_8

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  • DOI: https://doi.org/10.1007/978-0-387-78851-7_8

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